Individual
MACKENZIE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-A
Contact information
Practice address
1320 COASTAL MARSH RD, MOUNT PLEASANT, SC 29464-7919
(843) 437-9506
Mailing address
1320 COASTAL MARSH RD, MOUNT PLEASANT, SC 29464-7919
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8348
SC
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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